A conceptual framework for psychiatric nurses to facilitate medication compliance among adults living with depression.
Jeanne Du Plessis, Annie Temane, Marie Poggenpoel
PMID 39494648WHAT IT FOUND
Adults with depression who skipped medication described forgetfulness, fear of side effects, stigma, low support and cost worries.
A proposed nursing framework would build trust and address these barriers, but it was not tested.
Key findings
01Barriers to medication compliance included forgetfulness, lack of awareness about medication importance, fear of side effects, substance use, stigma and low social support.
02Adults with depression and their families reported similar experiences of non-compliance but did not understand each other's struggles, including medication side effects and severe depressive moods.
03The proposed framework for psychiatric nurses uses a relationship phase, a working phase and a termination phase to help adults with depression develop an internal locus of control.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were adults admitted to one psychiatric ward, so the findings may not apply to other settings. Medication non-compliance was identified by asking patients, so it relied on self-report and assumed truthful answers. The paper develops the framework but does not report outcomes from using it. Only 10 adults were interviewed in the current qualitative stage, and family data came from a previous study with 8 interviews. Data collection was affected by ethics approval delays and COVID-19 restrictions.
The easy way to misread this
Do not conclude that this framework improves medication compliance. The paper develops it from literature, interviews and a previous dissertation, and it was not tested against a control group or measured outcome.